| NPI | 1669644068 |
|---|---|
| Other Name | KPHC DOWNTOWN |
| Entity Type | Organization |
| Authorized Contact | MONIQUE VANDERAA CFO 808-843-7238 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: HI W20300018-01) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |